Friday, December 27, 2013

'Tis the season for sharing AND savings! Between 12/25-1/1 we're
offering a special discount rate of 25% off. Kick off 2014 with The Medicare Congress,
the event where the most forward-thinking minds in the Medicare and
Dual Eligible ecosystem come together to share the best practices and
best-in-class results.

Register with code XP1911SNOW today to take advantage of what's new in 2014. We hope to see you February 10-12 in New Orleans. Happy Holidays!

Friday, December 20, 2013

By visiting members in their home, health plans can uncover valuable data that goes beyond the basic doctor visit. This data and information can help health plans deliver patient-centric care while improving critical quality improvement scores. Learn more about how to balance the two in our upcoming webinar with Dr. Mark Dambro, Chief Medical Officer, CenseoHealth.

Webinar Highlights:

• Get the real snapshot: understand how your organization can become informed about the on living conditions, mental status, undiagnosed chronic conditions and behavioral status of your members
• Put your data to work driving gap-closing health screenings and case management referrals
• How home health assessments are going beyond basic medication review
• Best practices and the best ways to collect data in your members' homes and next steps after a visit.

About our speaker:

Dr. Mark Dambro’s nearly 30 years of medical experience is complemented by firsthand knowledge of the challenges involved in aligning risk adjustment with care management. As the Chief Medical Officer of CenseoHealth, he supports health plans and medical groups wanting to get more involved in this strategy. Many aspects of the interface between CMS, the health plan, CenseoHealth, and the practicing clinician require someone with experience in all these realms. Dr. Dambro provides both potential and existing clients a broad experience that they can draw upon—either as they just begin to understand risk adjustment or as they evolve a more mature project.

To learn more about our Medicare Congress event, download our brochure. Register with code XP1907WNR to save 20% for IIR’s 2014 Medicare Congress. If you have any questions about the agenda or event, feel free to email Kate Devery at kdevery@iirusa.com or visit the homepage.

Thursday, December 12, 2013

IIR's 2014 Government Programs Summit occurs during perhaps one of the most volatile policy time periods in history. ACA ramifications have already had a profound impact on the way government program professionals do business, and with so much change coming so quickly, where does the industry begin to prioritize the adjustments that need to be made and how do they do so outside of just the GP silo?

At IIR’s 6th Annual Government Programs Summit you will hear from regulators, pharma leaders, and insiders on insights for the legal, technical, and financial impact of the ACA expansion, including:

• Shifts in the Payer Mix with MMCO and HCX

• Fiscal and Methodological Considerations such as Accruals and Liability

• 340B Program Integrity Initiatives and Pricing Considerations

• The AMP Final Rule

• Medicaid Supplemental Agreements

• Dynamics for the Federal Supply Schedule

• Developments in the Split between Managed Medicaid and Fee-For-Service

• Changes to the Part D Coverage Gap

Plus,our Keynote, Jonathan Karl, ABC News' Chief White House Correspondent, will add to this lively and timely discussions with his anecdotes and insights from Inside Washington and Healthcare Reform.

Jonathan joined ABC News in January 2004 and has also served as the network's Senior Congressional Correspondent, Senior Foreign Affairs Correspondent, Senior National Security Correspondent and Senior Political Correspondent. He reports regularly on the status of Healthcare Expansion and will provide an Insider's look at the policy struggle behind the Act.

Register by tomorrow with code XP1911BLOG and save up to $700: If you have any questions about the event, feel free to contact Kate Devery (Kdevery@iirusa.com) For more information visit our homepage. We hope to see this March!

Wednesday, December 11, 2013

I can’t believe 2013 is already drawing to a close. If your year has been anything like mine, time has flown and you probably haven’t quite checked off all your personal and professional development goals this year.

Here’s the good news. IIR’s Medicare Congress, now including the D.U.A.L.S. Forum is coming up in February right in the heart of New Orleans. And, if you still have funds in your professional development or training budget remaining from this year that you just didn’t get a chance to use, consider saving your seat at the Medicare Congress.

The Medicare Congress is the only Medicare event that provides health plans with the tools they need to drive next generation healthcare management. The Medicare Congress 2014 has expanded to include the D.U.A.L.S. Forum, Star University, Clinical Care and Customer Centricity focused content. Hear directly from health plan heavyweights from companies such as People's Health, Cigna and Gateway Heath Plan to ensure you are set yourself up for success by capitalizing on the new opportunities evolving in the Medicare landscape.

To learn more, download the brochure. For additional information, visit our website. Register with code XP1907BLOG before December 20th and save up to $300.

Don’t hesitate—start 2014 right by crossing off some professional goals with The Medicare Congress. I hope to see you this February!

Thursday, December 5, 2013

With some states clearly ahead of others when it comes to implementing duals demonstrations, there’s a lot we can learn from states that already have experience. It's important to learn the best practices for working with CMS and states so you can identify expected and unexpected obstacles. So how do you recognize potential pitfalls?

Session: Views from the Front Line: Lessons Learned from the Early Demo Implementers

During this interactive panel, you’ll hear from health plans in states that already have duals demonstrations in place so you can better understand what to expect when other demonstrations go live. With the demonstrations continuing to evolve and health plans learning more about managing dual eligibles, there are huge opportunities ahead. Learn more about the future of dual eligibles at IIR's Medicare Congress 2014.

As a reader of this blog you'll receive 15% off of the standard rate when you register using code XP1907BLOG. To learn more, download our brochure. We hope to see you February 10-12, 2014 in New Orleans!

Wednesday, December 4, 2013

On Friday, CMS announced via reginfo.gov that the final rule revising the requirements pertaining to Medicaid reimbursement for covered outpatient drugs has been postponed until at least a May 2014 date. This rule also revises other requirements related to covered outpatient drugs, including key aspects of Medicaid coverage, payment, and the drug rebate program.

With a new 2014 Q2 release, the wait continues for clarity on the new regulations, but does give pharmaceutical labelers valuable time to implement methodologies for areas the new regulations will impact.

IIR’s 6th Annual GP Summit convenes regulators, pharma industry leaders and insiders on how to stay compliant during the rapid ACA expansion, including how to best utilize these final few months to prepare the critical business processes that will change on account of the AMP Final Rule.

Join us March 26-28, 2014 in Virginia, where you'll learn how to properly manage rebates for drugs under all government programs, including:

• The 340B Program and 340B "Mega" Rule

• The Medicaid Drug Rebate Program

• Medicare Part B & D • The VA and DoD

• TRICARE • State Supplemental Programs

• Medicaid Managed Care

Use code XP1951BLOG to register by 12/13 and save up to $700. If you have any questions about the event, feel free to contact Kate Devery (Kdevery@iirusa.com) For more information visit our homepage. We hope to see you this March!